2019 Drug Finder:Search for Your Prescription Drug Across All Medicare Part D or Medicare Advantage Plans

Select the starting letter for the drug you wish to find. You will be taken to a page showing all Medicare Part D drugs beginning with this letter. Click on the medication. You will return to this page. Select your State (if not already shown).

Please note: The plan’s average retail drug price (30-day supply) shown below is from the March 2019 dataset. Your actual retail drug price may differ significantly from the average shown. Please contact the Medicare plan or Medicare (1-800-Medicare) for more specific pricing based on your chosen pharmacy.

What does all this mean? Below are a few notes to help you understand the above 2019 Medicare Part D Plan Formulary.

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Plan Name: This is the official Medicare Part D prescription drug plan name from the
Centers for Medicare and Medicaid Services (CMS). The same Medicare Part D plan name generally has a different
Plan ID in each state (or CMS Region). The plan name is followed by the plan type
(PDP,
HMO,
HMO-POS,
PPO,
PFFS, etc.)

Monthly Premium: This is the amount you must pay each month for this prescription drug plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase.

Deductible: If your Part D plan has an initial deductible,
you are 100% responsible for your drug costs until your expenses exceed this value
and you begin your Initial Coverage Phase.

Many Medicare Part D plans use the the standard $415 deductible as
provided in the CMS "Standard" plan design.

Some Part D plan providers offer an initial deductible lower than the Standard deductible.

Many prescription drug plans do not have a deductible (also called first dollar coverage
or a $0 deductible), however the monthly premium for a plan with a $0 deductible may
be slightly higher.

*Some Part D plans exclude some drug tiers from the deductible. If the deductible field above is
followed by * (example: $415*), then this drug tier is excluded from the deductible.

Gap Coverage (the Donut Hole): In the CMS Standard Plan,
the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s)
up to $3,834 in drug costs, depending on your mix of generics and brand-name drugs.
The Healthcare Reform provides that for plan year 2019,
ALL formulary generics will have at least a 63% discount and
ALL brand-name drugs will have at least a 75% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:

No Gap Coverage: you pay up to $3,834 depending on your mix of generics and brand-name drugs. Read more...

Yes: This plan offers some level of gap coverage. See plan details for a description of the gap coverage. It will read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

Drug Tier Information - Drug Tiers are the logical grouping of prescription drugs on a Part D plan formulary. These fields represent the Tier (or drug list group) - for this particular medication - on this particular plan’s Formulary or Drug List.

Tier Number - This is the actual numerical tier level from the formulary.
Most Part D plans have five (5) tiers 1=Preferred Generics, 2=Generics,
3=Preferred Brands, 4=Non-preferred Brands, 5=Specialty Drugs.
*Some Part D plans exclude one or more drug tiers from the deductible. If the drug tier field above is
followed by * (example: 2*), then this drug tier is excluded from the plan’s deductible.

Tier Description - This is the Medicare Part D plan’s description of this particular drug tier.

Cost Sharing - Copay / Coinsurance - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown under this "Cost Sharing" category:

Preferred Network Pharmacy - (Preferred Pharm) - This is the cost-share amount you would pay during the intial coverage phase for a 30-Day supply (until your total retail prescription drug costs reach $3820) at a "Preferred" network pharmacy. In most cases, the "Preferred" network pharmacy cost-sharing is lower than the standard (non-preferred) network pharmacy cost-sharing.

Mail Order - This is the cost-share amount you would pay during the initial coverage phase for a 90-Day supply if you purchased your medication through your plan’s preferred mail order partner(s).

None - This drug does not fall under any drug utilization management controls.

P - Prior Authorization -This drug is subject to prior authorization.

S - Step Therapy -This drug is subject to step therapy.

Q - Quantity Limits -This drug is subject to quantity limits. The actual quantity limit is shown as Q:Amount/Days. For Example: Q:6/28Days means the quantity limit is a quantity of 6 pills per 28 days. Q:90/365Days would mean that the plan limits this drug to 90 pills for the entire year.

Plan’s Avg. Retail Drug Price: This is the Medicare Part D prescription drug plan’s average negotiated retail drug price. This price is calculated
for each plan by averaging the negotiated retail price for a particular drug across all pharmacies in the plan’s service area.
For example. The negotiated retail drug price for Quetiapine Fumarate 25MG Tables on the AARP MedicareRx Saver Plus plan in Florida (S5921-356) is determined by averaging all of the AARP MedicareRx Saver Plus plan’s
negotiated retail drug prices for a Florida pharmacies.

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Part D plan provider.

We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information.
However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist.
For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.

We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.

Limitations, copayments, and restrictions may apply.

We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area.
However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service
area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048),
24 hours a day/7 days a week or consult www.medicare.gov.

Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.

Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.

You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.

If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.

Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.

Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare.
Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.

Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits
money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible.
The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.

Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan

There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll
during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.

Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.

Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the
medicare.gov site.
Beneficiaries can appoint a representative by submitting CMS Form-1696.